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If the properly is financed,please complete the tollowing: <br /> 11. T of financing:(Check all that apply) <br /> None(all cash or cash equivalent) <br /> New/Morgege Lender(govemment-bac ked or conventional bank khan) <br /> New/Private Third Party(nonconventional lender,e.g.,relative,friend,or acquantainoe) <br /> Seller(buyer obtained a mortgage directly from the seller) <br /> Assumed(buyer assumed an exlatlng mortgage) <br /> Combination or Other.Please explain <br /> 12. Total amount financed: <br /> 13. Terms: <br /> Variable Starting interest rate % <br /> Fuutd Interest rate % <br /> Length of time <br /> Mm— <br /> Bellwn Payment Yes 0 No If yes,amount$0M Due Date <br /> 14. Mark any that apply. <br /> Seller assisted down payment <br /> Seller concessions <br /> Special terms of financing <br /> If marked,please specify: <br /> 15. Was an independent appraisal obtained in conjunction with this transaction?Q Yes Q No <br /> For properties jtK than residential(Residential is defined as:single family detached,townhomes,apartments,and condorrd dU=)please <br /> complete questions 16-16 if applicable.Otherwise,skip to#19 to complete. <br /> 16. Did the purchase price include a franchise or license fee?Q Yes Q No <br /> If yes,franchise or license fee value? <br /> 17. Did the purchase price involve an installment land contract?❑Yes Q No <br /> If yes,date of contract: <br /> 1& If this was a vacant land sale,was an on-die Inspection of the properly oonducted by the buyer prior to the closing?®Yes Q No <br /> Remarks:Please include any additional informatkm concemirg the sale you may feel Is important. <br /> 19. Signed on this day of <br /> December 96,2919 <br /> Have at least one of the parties to the transaction sign the document.and include an address and a daytime phone number. <br /> Signature of least <br /> Grantee(Buyer)❑or Grantor(Seller) <br /> PRtiaMIER NOBS ROCK,LI;C,A COLORADO LIMITED <br /> LIABIUTifiCO Y <br /> t3y:V/ <br /> NI SWP NAGER <br /> 20. Au future correspondence(tax bills,property valuations,etc.)regarding this property Should be mailed to: <br /> PREMIER MOSS ROCK,LLC,A COLORADO LIMITED LIABILITY COMPANY <br /> 45M E LAKE HARRIET PKY,MINNEAPOLIS,MN 55419 <br /> Phone: (612)399.6130 Email: <br /> Contact information is kept confidential,for County Assessor and Treasurer use only,to contact buyer with questions regarding this form, <br /> properly valuation,or property tax Information. <br /> "� Form low ctceirg/recordings/rpL2019.htrtti 35046944 (502196) <br />